Individual provider Active NPI

Hanaa Adnan Dauodi

  • Marriage & Family Therapist
  • Moreno Valley, CA
National Provider Identifier
1598522328
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT143058 Issued in CA
Practice address
27114 Dolostone Way
Moreno Valley, CA 92555-4507
Phone
(951) 251-2301
NPI assigned
Feb 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT143058 CA Primary

Addresses

Primary practice location

27114 Dolostone Way
Moreno Valley, CA 92555-4507

Mailing address

5331 Mojave Way
Antioch, CA 94531-9041
Phone (951) 251-2301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AMFT143058CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fig Tree Psychology Center Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1598522328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5331 MOJAVE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945319041",
            "telephone_number": "951-251-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27114 DOLOSTONE WAY",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554507",
            "telephone_number": "951-251-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUODI",
        "first_name": "HANAA",
        "middle_name": "ADNAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT143058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.